<link rel="stylesheet" href="../static/bootstrap-dist/css/bootstrap-datepicker.css">
<link rel="stylesheet" href="../static/css/style.css">
<link rel="stylesheet" href="../static/plugins/layui/css/layui.css">
<link rel="stylesheet" href="../static/plugins/bootstrap-3.3.7/css/bootstrap.min.css">
<link rel="stylesheet" href="../static/plugins/bootstrap-3.3.7/css/bootstrap-theme.min.css">
<link rel="stylesheet" href="../static/plugins/Calendar/css/bootstrap-datepicker.standalone.min.css">
<link rel="stylesheet" href="../static/plugins/Calendar/css/bootstrap-datepicker.min.css">
<link rel="stylesheet" href="../static/plugins/Calendar/css/bootstrap-datepicker3.min.css">
<link rel="stylesheet" href="../static/plugins/Calendar/css/bootstrap-datepicker3.standalone.min.css">


    <!-- 内容主体区域 -->
<div class="layui-row layui-pad15">
    <form class="layui-form" action="">
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs12">
                        <label>基本信息</label>
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs3">
                        订单总价：
                    </div>
                    <div class="layui-col-xs6">
                        <div class="input-group">
                            <div class="input-group-addon">$</div>
                            <input type="text" class="form-control" id="exampleInputAmount" >
                            <div class="input-group-addon">元</div>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs3">
                        所属机构：
                    </div>
                    <div class="layui-col-xs6">
                        <select class="form-control" lay-ignore>
                            <option value="">苏州第一人民医院</option>
                            <option value="0">北京</option>
                            <option value="1">上海</option>
                            <option value="2">广州</option>
                            <option value="3">深圳</option>
                            <option value="4">杭州</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs3">
                        体检套餐：
                    </div>
                    <div class="layui-col-xs6">
                        <select class="form-control" lay-ignore>
                            <option value="">入职体检（A套餐）</option>
                            <option value="0">北京</option>
                            <option value="1">上海</option>
                            <option value="2">广州</option>
                            <option value="3">深圳</option>
                            <option value="4">杭州</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs3">
                        公司名称：
                    </div>
                    <div class="layui-col-xs6">
                        <input type="text" name="title"  class="form-control">
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                    <div class="layui-col-xs12">
                        <label>预约时间限制</label>
                    </div>
                </div>
            </div>
            <div class="layui-col-md12 layui-col-lh">
                <div class="layui-row ">
                     <div class="layui-col-xs3">
                         选择日期 ：
                     </div>
                     <div class="layui-col-xs6">
                         <div class="input-group date">
                             <input type="text" class="form-control" id="sandbox-container"><span class="input-group-addon"><i class="glyphicon glyphicon-th"></i></span>
                         </div>
                     </div>
                </div>
            </div>

            <div class="layui-col-md12  layui-text-center layui-col-lh order-margin1">
                <a href="javascript:;" class="layui-q-c layui-zdy-bj">保存</a>
            </div>
    </form>


</div>
<script src="../static/js/jquery.min.js"></script>
<script src="../static/plugins/bootstrap-3.3.7/js/bootstrap.min.js"></script>
<script src="../static/plugins/layui/layui.js"></script>
<script src="../static/plugins/Calendar/js/bootstrap-datepicker.min.js"></script>
<script>
    $('#sandbox-container ').datepicker({
        language: "zh-CN",
        multidate: true,
        toggleActive: true
    });
</script>

